VCC234718, a molecule with growth
inhibitory activity against Mycobacterium tuberculosis (Mtb), was identified by phenotypic screening of
a 15344-compound library. Sequencing of a VCC234718-resistant mutant
identified a Y487C substitution in the inosine monophosphate dehydrogenase,
GuaB2, which was subsequently validated to be the primary molecular
target of VCC234718 in Mtb. VCC234718 inhibits Mtb GuaB2 with a Ki of 100 nM
and is uncompetitive with respect to IMP and NAD+. This
compound binds at the NAD+ site, after IMP has bound, and
makes direct interactions with IMP; therefore, the inhibitor is by
definition uncompetitive. VCC234718 forms strong pi interactions with
the Y487 residue side chain from the adjacent protomer in the tetramer,
explaining the resistance-conferring mutation. In addition to sensitizing Mtb to VCC234718, depletion of GuaB2 was bactericidal in Mtb in vitro and in macrophages. When supplied at a high
concentration (≥125 μM), guanine alleviated the toxicity
of VCC234718 treatment or GuaB2 depletion via purine salvage. However,
transcriptional silencing of guaB2 prevented Mtb from establishing an infection in mice, confirming that Mtb has limited access to guanine in this animal model.
Together, these data provide compelling validation of GuaB2 as a new
tuberculosis drug target.